2018 rates

These rates do not apply to all enrollees. If you are in a special enrollment category, please refer to the FEHB Program website or contact the agency or Tribal Employer that maintains
your health benefits enrollment.

The table below summarizes your in-network cost for medical benefits with GEHA High Option. For complete information see the GEHA Plan Brochure.

Prescription benefits

The table below summarizes your cost for prescription drugs with GEHA High Option. For complete benefit information, including details on specialty drugs that are injected or infused, refer to the GEHA Plan Brochure.

‡Costs for initial prescription and first refill. You pay 50% for third and additional refills at retail for 30-day supply. For long-term prescriptions, use mail order or your local retail CVS Pharmacy store (90-day supply) for greater
cost savings.

¤If you choose a brand-name medication when a generic is available, you will be charged the generic copay plus the difference in cost between the brand-name and the generic.

#Your claim will be calculated on the coinsurance or the appropriate copayments. Reimbursement will be based on GEHA’s costs had you used a participating pharmacy. You must submit original drug receipts.

Ready to enroll?

To enroll in GEHA’s High Option medical plan, you’ll need one of the enrollment codes below based on the coverage you chose. Click on the appropriate code to copy it, then you will be directed to opm.gov to find the enrollment site for your agency. If you have any questions about the enrollment process, check with your Human Resources, Health Benefits or Payroll department.

gym discounts

medical alert system

^GEHA supplemental benefits are neither offered nor guaranteed under contract with the FEHB, but are made available to all enrollees and family members who become members of a GEHA medical plan. For information on year-round savings for GEHA
dental members, visit Savings for GEHA dental members.

This is a brief description of the features of the GEHA High Option medical plan. Before making a final decision, please read the Plan’s Federal brochure RI 71-006. All benefits are subject to the definitions, limitations
and exclusions set forth in the Federal brochure.

The lowest GEHA premium and a health savings account or health reimbursement arrangement, even if it means I pay a higher deductible.

Are vision benefits important to you?

GEHA’s High Deductible Health Plan includes full vision coverage. GEHA’s High and Standard Option plans include a $5 vision exam copay and discounts on eyewear when you see an in-network provider.

I want full vision coverage.

I'm happy with a vision discount benefit.

I don't care.

Are you taking an expensive specialty drug that has you worried about costs?

A specialty drug may be used for rare or complex health conditions. These medications aren’t common and may not be available through your local pharmacy.

Yes

No

Do you plan to frequently use out-of-network providers?

While all of our plans pay when you see either an in- or out-of-network provider, you might pay less when you visit an in-network provider. GEHA has over 2.7 million in-network provider locations.

Yes

No

Are you enrolled in Medicare?

GEHA coordinates benefits with Medicare. Understanding what type of coverage you have can help determine which plan might be right for you.

Yes (A and/or B)

No

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